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Physician Billing Representative – Revenue Cycle
ChristianaCareResponsible for submitting physician billing and follow-up on balances. Part of ChristianaCare's healthcare team in Delaware.
ATS Keywords
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Hard Skills
CPT4 codingICD10 codingbillingclaims processingpayment reconciliationinsurance follow-updocumentation submissionregistration accuracypayer plan assignmentCMS1500 forms
Soft Skills
attention to detailproblem-solvingcommunicationorganizational skillscollaboration
Tools & Technologies
Soariancomputerized billing systems
Industry Keywords
physician billingthird party payersinsurance carrierspatient insurance discrepanciesbilling information
About the role
Key responsibilities & impact- Responsible for submitting all charges and follow-up on all third party balances.
- Reviews registration documents to ensure accuracy.
- Assigns appropriate payer plans to facilitate billing and updates registration information when necessary.
- Reviews all encounter documents for completeness and proper CPT4/ICD10 coding as it relates to physician billing.
- Reviews Soarian worklists to ensure claims have all necessary billing information.
- Performs follow-up with insurance carriers to obtain payment status and resolve claim issues.
- Submits the appropriate documentation to third party payers to secure payment on claims.
- Reviews payment vouchers to ensure proper reimbursement.
- Resolves patient insurance discrepancies with office staff at physicians’ offices.
- Review and submit CMS1500 forms to third party insurance companies.
Requirements
What you’ll need- High school graduate or equivalent
- Associates Degree preferred
- 3-5 years physician billing/coding experience preferably in a computerized physician billing department or large physician group practice
- An equivalent combination of experience and education may be substituted.
Benefits
Comp & perks- Collaborative and team focused environment
- Full Medical, Dental, Vision, Life Insurance, etc.
- 403(b)
- Generous paid time off
- Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more!